Golenbock, Douglas T

Golenbock, Douglas T is an individual health care provider with primary practice located at 119 Belmont St , Worcester MA 01605-2903. He recently has only one registered license in Allopathic & Osteopathic Physicians / Infectious Disease, which is considered as his primary health care specialty. Golenbock, Douglas T can be contacted via phone (508) 334-6053.

Contact Information

Primary practice address
119 Belmont St Worcester MA 01605-2903
Fax: (508) 334-6412
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X 72988 Massachusetts

Profile Details

NPI number 1467435917
LBN Legal business name Golenbock, Douglas T
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 29th, 2005
Last updated Feb 12th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1467435917 NPPES
Massachusetts MEDICAID 3063437

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